Could you provide specific results for facilities that have this in place?

Your decision to get this system should be based on reducing claustrophobic losses and reducing the number of sedations on children, and/or your desire to offer a more competitive MRI environment and attract more patients. 1. How many patients a week do you currently have that refuse to be MRI scanned due to claustrophobia? 2. How many patients require mild to full sedation to tolerate a MRI? 3. How many and what age children are sedated today for MRI? 4. Are your childrens parents concerned about the potential harmful aspects of sedation? 5. Are you operating at full MRI capacity today? 6. Do you want to offer your patients the best MRI environment along with your professional care? Data suggests that you could scan 85-90% of your claustrophobic patients with Cinemavision and proper pre-scan care. The full articles are on www.cinemavision.biz ChildrenS Hospital in Denver reported:

CONCLUSION: The use of this video system reduced the number of children requiring sedation for MRI examination by 18%. In addition to reducing patient risk, this can potentially reduce cost.

The article from Vanderbilt Monroe Carrell Childrens Hospital: Currently, "we have about two or three patients a week who are able to have their MRIs done without sedation that we believe would have had to be sedated without the option of a movie to watch," Bozeman added. "This saves money and time, and can be safer for the patient.

St Marys In Cincinnati: The addition of Cinemavision has reduced pediatric sedation rates at Cincinnati Children's Hospital Medical Center, or CCHMC, in Cincinnati. Before Cinemavision, 90 percent of MR patients under 7 years old at CCHMC were sedated. Today, only about 60 percent of this age group receives sedation. Hamilton Health Sciences in Ontario Canada justified the purchase of the Cinemavision system in about 4 months just through the reduction in cost of child sedations.

Could you provide references?

How much time involvement is there to set up for patients (picking a video, starting the system, inserting the DVD, etc.)?

For adults I recommend playing a travel-log DVD like the French or Italian Riviera and just let that run. While we have the options of broadcast TV or selecting a DVD, which does add a minute or so. If you currently offer radio or a CD: It takes no longer to start a DVD or select a TV station for the patient. The headset and goggles take just a moment to put on the patient especially if they are mentioned during the safety briefing. There is also a camera that activates when the tech talks to the patient, so that the patient sees and hears the MRI tech talking. This ensures positive 2 way communication. The system also has a call button the patient can use to alert the tech of a problem.

What is the system install time? What type of contractor help is needed to complete the install? Have you dealt with Lindgren or other MRI shielding companies before?

I personally will come and do the install after hours. I will need an MRI safe ladder, and normally someone from bio-med to assist in the install. I also train that person on how to remove and replace components that might become defective for repair service. Depending on the room configuration, it normally takes a couple of hours to run the fiber optic and power cables. For GE, Siemens and Philips we include a plate that replaces an existing blank plate on the penetration panel. I would prefer that the local MRI service person help with that, but it is not mandatory. Those plates simply unscrew with an allen wrench. Our fiber optics goes through the existing wave guide on most MRIs and through our plate and wave guide with GE. We should not need any Lindgren or shielding support. However some facilities prefer to have Lindgren or the shielding company installs our plate with filter and wave guide apart from the penetration panel. If so I will provide the plate and confer with Lindgren on the location of that.

What kind of training do you provide?

I provide training to the following MRI Technologist: I will work with your MRI technologists on the day following the installation. I personally walk them through how to introduce Cinemavision to both and adult and a child. We then take the patient into the MRI and I show them the best way to place the goggles and headset on the patient and then how to use the Technologist remote control to communicate with the patient during the scan. I also cover the operation of the DVD player, the TV controls, The CD and iPod Player and the use of the Technologist remote control to adjust both Tech and Patient volume. Bio-med: I show them how to quickly test, re-set and/ or remove and replace the various components. I also provide the toll free number to call for technical support. MRI Scheduler: I recommend that we bring the MRI schedulers into the MRI and demonstrate the MRI goggles and audio headset. They then can enthusiastically tell the patients about the wonderful DVD entertainment system they will be able to use when they confirm the MRI appointment. MRI Marketer: I will work with this person to understand the significant marketing challenges they face. We will design a marketing plan to increase MRI referrals.

Are there comparable products in market place?

We originally produced a product that uses a mirror and screen in the room to broadcast an image. However since the patient can still see the bore- it did little to reduce claustrophobia effects. There is another company that produces a similar system. I believe it is offered by Avotec.

How is the video transmitted (wireless, etc.)?

Is there any MRI image degradation or noise on the MRI image due to the electronics (electronic noise)?

No. Before the install I will ask the MRI tech to perform a normal QC check with a head coil and phantom. After the install I have them run that phantom again with the goggles and headset on the phantom. This always confirms that there is no image degradation or noise on the image. I also remain during the following day to help train the MRI techs and observe the images to prove that there are no artifacts or image degradation.

Are service/maintenance agreements available? How is the service contract fulfilled? What is the turnaround time for service?

The system comes with a full year of warranty service for parts and labor. You will call an 800 number to have our technicians diagnose and confirm any problems. If a return is needed, we will issue a RMA. If the component is in stock we will ship that over-night, and you will pack and return the defective part. If it is not in stock, you will ship the part and we will repair it and ship it back. That turn-around time is typically one day. Extended Warranty is also available: Warranty: One year parts and labor One year against any manufacturer defects. 800 number and email for technical support to verify any problems. Our technicians will remotely diagnose any issue and provide telephone assistance. If repair or replacement is required, customer is responsible for packing and shipping components during warranty period. We will train local bio-med personnel on component replacement procedures. Extended Warranty Coverage: Customer may add the option to extend the initial One year Warranty by including an order for the following periods in the original Purchase Order. The extended warranty period covers all parts and labor for components the customer returns to the repair facility.

Where is your closest service rep for service work?

We do not have service reps. I will train your bio-med staff on how to remove and replace components. Everything is plug-and-play. You will obtain a RMA and return the defective item. If you have any more questions contact me, David Salvadorini, at 775-745-2963 This email address is being protected from spambots. You need JavaScript enabled to view it.